Susan S Whaley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2689 Issued in FL

Practice address

2858 Mahan Dr
Suite 4
Tallahassee, FL 32308-5446

Phone

(850) 671-3936

Fax

(850) 671-3239

NPI assigned

Jul 26, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan S Whaley OD LLCGroup PAC ID 0547536468, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan S Whaley OD LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1245750058
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1730189382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 MAHAN DR",
            "address_2": "SUITE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085446",
            "telephone_number": "850-671-3936",
            "fax_number": "850-671-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 MAHAN DR",
            "address_2": "SUITE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085446",
            "telephone_number": "850-671-3936",
            "fax_number": "850-671-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-06-05",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20465",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Wetzel
• Mykaela Janae Wetzel, LMT
• Madison Annette Whalen
• David Lawrence Whaley, PHARM D
• Quandra Meshane Whaley, ARNP-C
• Katharine Dudley Whealdon
• Kimberly Berglund Wheeler, RPH
• Mark Wheeler, M.D.
• Elizabeth Ann Whelan, APRN
• George R Whiddon, M.D.

• Optometrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.